| Mrs Elizabeth Diane Payne, APRN | |
|
10821 Plantside Drive, Suite 104, Louisville, KY 40299 | |
| (502) 412-2995 | |
| (502) 412-8025 |
| Full Name | Mrs Elizabeth Diane Payne |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 10821 Plantside Drive, Louisville, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700831138 | NPI | - | NPPES |
| 500028827 | Other | KY | PASSPORT PROV NUMBER |
| 7765491 | Other | KY | AETNA PIN |
| 78028263 | Medicaid | KY | |
| 201016000 | Medicaid | IN | |
| 2444184000 | Other | KY | PASSPORT ADVANTAGE |
| 000000240200 | Other | KY | ANTHEM PROV NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 3002826 (Kentucky) | Primary |
| Entity Name | Online Wound Care Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487345369 PECOS PAC ID: 8729504683 Enrollment ID: O20250424000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Elizabeth Diane Payne, APRN 10821 Plantside Drive, Suite 104, Louisville, KY 40299 Ph: (502) 412-2995 | Mrs Elizabeth Diane Payne, APRN 10821 Plantside Drive, Suite 104, Louisville, KY 40299 Ph: (502) 412-2995 |
Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909 | |
Harold Dean O'brien, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461 | |
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843 | |
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10798 Dixie Hwy Ste 102, Louisville, KY 40272 Phone: 502-449-6464 Fax: 502-449-6465 | |
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117 | |
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529 | |
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500 |